Wee M Y
Department of Anaesthetics, Ninewells Teaching Hospital, Dundee.
Anaesthesia. 1988 Jan;43(1):27-9. doi: 10.1111/j.1365-2044.1988.tb05419.x.
A new method to distinguish oesophageal from tracheal intubation using the oesophageal detector device was evaluated. In 100 healthy adults, observers of differing experience reliably and rapidly detected 51 oesophageal and 49 tracheal intubations in a randomised, single-blind trial. In one case, blockage of the tracheal tube was detected swiftly and allowed corrective steps to be taken. This method can be used in patients with bronchospasm to detect correct tracheal placement when auscultation and decreased compliance of the chest may make clinical confirmation difficult. It can be concluded from this study that the oesophageal detector device is a reliable, rapid, inexpensive and easy to use method for the detection of oesophageal intubation and its very low cost should make it readily available in all situations where tracheal intubation is carried out.
对一种使用食管探测器装置区分食管插管和气管插管的新方法进行了评估。在100名健康成年人中，不同经验的观察者在一项随机单盲试验中可靠且快速地检测出51例食管插管和49例气管插管。在1例病例中，迅速检测到气管导管堵塞并采取了纠正措施。当听诊和胸部顺应性降低可能使临床确认困难时，这种方法可用于支气管痉挛患者以检测气管是否正确置入。从这项研究可以得出结论，食管探测器装置是一种可靠、快速、廉价且易于使用的检测食管插管的方法，其极低的成本应使其在所有进行气管插管的情况下都易于获得。
